Cited by 51Mast cells and histamineFood Allergy and Anaphylaxis ResearchDrug-Induced Adverse Reactions

Anaphylaxis and Mast Cell Disorders

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Gülen, Theo, Akin, Cem·2022·Immunology and Allergy Clinics of North America

Abstract

There is strong evidence of an association between severe anaphylaxis, especially hymenoptera venom induced, and mast cell (MC) disorders. It has been thought that intrinsic abnormalities in MCs, including the presence of the activating KIT D816V mutation in mastocytosis or of genetic trait, hereditary alpha-tryptasemia, may influence susceptibility to severe anaphylaxis. This article evaluates the potential mechanisms leading to severe MC activation, as well as the differential diagnosis of and range of symptoms attributable to MC mediator release. Also, we offer a global classification for disorders related to MC activation.

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Crossref · 10.1016/j.iac.2021.09.007

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  • There is a consensus that HαT is a risk modifier of severe anaphylaxis.

    “There is a consensus that HαT is a risk modifier of severe anaphylaxis [21,48,49,50,51,52,53].”

    From Diagnostic Significance of Tryptase for Suspected Mast Cell Disorders (2023) · cites this paper as [50]

    The Hereditary Alpha-Tryptasemia section describes HαT as a modifying factor and reports an increased risk of severe anaphylaxis. But it says HαT *may* confer that risk and that the findings need confirmation in larger cohorts; it does not establish the claimed consensus. (LLM, conf=0.84)

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Authors
Gülen, T., & Akin, C.
Affiliations
  • Karolinska University Hospital (SE)
  • University of Michigan (US)
Corresponding author
Gülen, Theo
Venue
Immunology and Allergy Clinics of North America
Publisher
Elsevier BV
Published
2022-02
Volume
42
Issue
1
Pages
45-63
ISSN
0889-8561 (ISSN-L)
OpenAlex
W3215717282
Cited by
51
References
85
Citations by year
2026: 6 · 2025: 12 · 2024: 6 · 2023: 10 · 2022: 16 · 2015: 1
FWCI
0.82
Type
journal article
Language
en
Open access
Locations
  • Immunology and Allergy Clinics of North America (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Karolinska Institutet
  • Stockholms Läns Landsting
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Mast cells and histamine
  • Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
  • Health Sciences › Medicine › Pharmacology › Drug-Induced Adverse Reactions
Keywords
anaphylaxis, mast cell disease, hymenoptera venom allergy, KIT D816V mutation, mastocytosis, hereditary alpha-tryptasemia, mast cell activation, mast cell mediator release, differential diagnosis
MeSH terms
Anaphylaxis, Arthropod Venoms, Humans, Mast Cells, Mastocytosis, Tryptases

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